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Bring your claims expertise to a remote team committed to service excellence and operational success.Â
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Work Style: Remote (on-site training available)Â
Location Requirement: Gainesville, FL
FTE: Full-Time (1.0 FTE)
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This position is responsible for coordinating incoming and outgoing payer correspondence, reviewing claim documentation, supporting Epic account updates, and ensuring accurate claim processing and routing. Ideal candidates are detail-oriented, analytical, and thrive in a fast-paced environment while helping drive efficiency and accuracy across the revenue cycle team.
Responsibilities
Key Responsibilities
- Manages and evaluates insurance claims to ensure accuracy and timely processing.
- Investigates claims, reviews supporting documentation, and negotiates appropriate settlements.
- Responds to inquiries from claimants, vendors, and related parties in a timely and professional manner.
- Assists clients with proper claim submission and provides guidance throughout the claims process.
- Coordinates with internal teams to facilitate efficient claim resolution and workflow management.
- Maintains detailed and accurate records while ensuring compliance with regulatory and audit requirements.
Qualifications
Education
- High School Diploma/Equivalent
Experience Requirements
- 2+ years of experience in insurance claims processing and support.
- Working knowledge of insurance policies, coverage, and claims adjudication processes.
- Experience investigating, analyzing, and resolving claim-related issues.
- Strong communication and customer service skills with the ability to interact effectively with claimants and stakeholders.
- Demonstrated ability to maintain accurate records and ensure compliance with regulatory and audit requirements.
Preferred Qualifications:Â
- Experience with UB04 Billing - required
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